NPI | 1760766653 |
---|---|
Entity Type | Organization |
Authorized Contact | TAIRI KEARNS Owner/Therapist 630-881-1095 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149013396) |
Enumeration Date | 2011-10-10 |
Last Update Date | 2011-10-10 |